[Ischemia of the arm with finger necroses: differential carpal tunnel syndrome and thoracic outlet syndrome diagnosis].
Upper extremity ischemia with finger necrosis: carpal-tunnel syndrome or thoracic outlet syndrome? A 26-year-old male patient complained of pain paraesthesia in the right upper extremity while working with the arm elevated. After electrophysiological diagnosis of a carpal-tunnel-syndrome the patient received surgical treatment. Following this treatment he developed acral necrosis at the fingers. Additional diagnostic effort let to the diagnosis of a thoracic-outlet-syndrome due to a cervical rib. This case report and a review of the literature show that electrophysiological investigations alone can not differentiate the carpal-tunnel-syndrome from the thoracic-outlet-syndrome. Thus an operative release of a carpal-tunnel should not be performed until the arterial perfusion of the upper extremity has been judged.
Schelo
C
C
Klinik für Angiologie, Universitätsklinikum Essen.
Kröger
K
K
Hinrichs
A
A
Rensing
N
N
Rudofsky
G
G
D000328:Adult; D001132:Arm / Q000098:blood supply*; D002349:Carpal Tunnel Syndrome / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D005385:Fingers / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D008297:Male; D009336:Necrosis; D009784:Occupational Diseases / Q000175:diagnosis* / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D012086:Reoperation; D013901:Thoracic Outlet Syndrome / Q000175:diagnosis* / Q000601:surgery
Ischämie des Arms mit Fingernekrosen: Differentialdiagnose Karpaltunnel-Syndrom und Thoracic-outlet-Syndrom.